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Washington rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $21.41 / $74.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $12.63 / $19.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $26.88 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $12.10 / $25.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $24.36 / $39.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $17.86 / $26.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $12.97 / $14.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $14.11 / $34.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $20.16 / $36.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $12.10 / $12.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $22.06 / $36.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $13.44 / $35.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $14.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $6.05 / $6.96